The Experts below are selected from a list of 4155 Experts worldwide ranked by ideXlab platform
David J Beste - One of the best experts on this subject based on the ideXlab platform.
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pediatric External Auditory Canal foreign bodies a review of 698 cases
Otolaryngology-Head and Neck Surgery, 2002Co-Authors: Stacey L Schulze, Joseph E. Kerschner, David J BesteAbstract:OBJECTIVE: The study goal was to determine the relationships between patient management factors and patient outcomes in pediatric patients with External Auditory Canal foreign bodies.STUDY DESIGN AND SETTING: Retrospective analysis was conducted of 698 consecutive cases of pediatric External Auditory Canal foreign bodies (n = 605 patients) who presented to a tertiary care pediatric referral center during a 6-year period.RESULTS: Emergency physicians frequently removed foreign bodies under direct visualization while otolaryngologists primarily used otomicroscopy. Both of these methods had high success rates overall (77% and 86%), but attempts under direct visualization had lower success rates with removing spherical objects, objects touching the tympanic membrane, and objects in the Canal for more than 24 hours. Failed removal attempts resulted in higher complication rates.CONCLUSION: Certain foreign body and patient characteristics are associated with poor outcomes with removal attempts made under direct ...
Joseph E. Kerschner - One of the best experts on this subject based on the ideXlab platform.
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Foreign Body Granuloma of the External Auditory Canal
Pediatrics, 2004Co-Authors: Kevin C. Harris, Stephen F. Conley, Joseph E. KerschnerAbstract:External Auditory Canal polyps are most commonly inflammatory in nature but may also manifest more severe disease. Prolonged conservative therapy may delay the correct diagnosis and appropriate intervention. A case is presented of a child with chronic otorrhea treated for 4 months with topical drops and antibiotics. On referral, a large External Auditory Canal polyp was confirmed to represent a foreign body granuloma covering a large electrical cap, with erosion approaching the facial nerve. External Auditory Canal polyps that fail to respond promptly to conservative medical therapy warrant a computed tomography scan and surgical exploration with biopsy.
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pediatric External Auditory Canal foreign bodies a review of 698 cases
Otolaryngology-Head and Neck Surgery, 2002Co-Authors: Stacey L Schulze, Joseph E. Kerschner, David J BesteAbstract:OBJECTIVE: The study goal was to determine the relationships between patient management factors and patient outcomes in pediatric patients with External Auditory Canal foreign bodies.STUDY DESIGN AND SETTING: Retrospective analysis was conducted of 698 consecutive cases of pediatric External Auditory Canal foreign bodies (n = 605 patients) who presented to a tertiary care pediatric referral center during a 6-year period.RESULTS: Emergency physicians frequently removed foreign bodies under direct visualization while otolaryngologists primarily used otomicroscopy. Both of these methods had high success rates overall (77% and 86%), but attempts under direct visualization had lower success rates with removing spherical objects, objects touching the tympanic membrane, and objects in the Canal for more than 24 hours. Failed removal attempts resulted in higher complication rates.CONCLUSION: Certain foreign body and patient characteristics are associated with poor outcomes with removal attempts made under direct ...
Paul Dutcher - One of the best experts on this subject based on the ideXlab platform.
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External Auditory Canal foreign body removal management practices and outcomes
Laryngoscope, 2010Co-Authors: Scott K Thompson, Richard O Wein, Paul DutcherAbstract:Objectives/Hypothesis: The purpose of the study was to evaluate the effectiveness of External Auditory Canal foreign body removal attempts by health care practitioners and to explore outcomes of patients with unsuccessful initial removal attempts. Study Design: Retrospective case series. Methods: A case series of patients presenting with External Auditory Canal foreign body to the emergency department of the authors' institution (Strong Memorial Hospital, University of Rochester Medical Center) over a 3-year period was studied retrospectively. Medical records were reviewed, and information including age at presentation, type of foreign body, side of presentation, length of time in place, signs and symptoms at presentation, management practices, and outcomes was recorded. Results: One hundred sixty-two patients with a diagnosis of External Auditory Canal foreign body were identified. Emergency personnel successfully managed 67% of patients using direct visualization techniques, and 33% required otolaryngological consultation. Otolaryngologists used otomicroscopy with standard otological instruments as their mainstay of management. Analysis of successfully managed emergency department cases revealed that 82% of foreign bodies were irregularly shaped objects with soft, graspable parts. Conversely, 72% of foreign bodies in otolaryngology referrals were firm, rounded objects such as beads and beans. Analysis of patients referred to otolaryngologists revealed a requirement for removal under anesthesia of 19%. Patients with a history of one or more removal attempts before emergency department evaluation universally failed further direct visualization techniques. A disproportionate number of these patients eventually required operative intervention and/or had tympanic membrane perforation. Patients with a history of previous removal attempt(s) who were referred directly to otolaryngologists were more likely to be successfully managed without general anesthesia. Conclusion: Emergency room personnel successfully manage the majority of patients with foreign bodies of the External Auditory Canal. For patients with firm, rounded objects, direct otolaryngology consultation without further manipulation should be strongly considered. Patients who have had previous removal attempts should not undergo further manipulation in the emergency department but rather should be referred directly to an otolaryngologist.
Stacey L Schulze - One of the best experts on this subject based on the ideXlab platform.
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pediatric External Auditory Canal foreign bodies a review of 698 cases
Otolaryngology-Head and Neck Surgery, 2002Co-Authors: Stacey L Schulze, Joseph E. Kerschner, David J BesteAbstract:OBJECTIVE: The study goal was to determine the relationships between patient management factors and patient outcomes in pediatric patients with External Auditory Canal foreign bodies.STUDY DESIGN AND SETTING: Retrospective analysis was conducted of 698 consecutive cases of pediatric External Auditory Canal foreign bodies (n = 605 patients) who presented to a tertiary care pediatric referral center during a 6-year period.RESULTS: Emergency physicians frequently removed foreign bodies under direct visualization while otolaryngologists primarily used otomicroscopy. Both of these methods had high success rates overall (77% and 86%), but attempts under direct visualization had lower success rates with removing spherical objects, objects touching the tympanic membrane, and objects in the Canal for more than 24 hours. Failed removal attempts resulted in higher complication rates.CONCLUSION: Certain foreign body and patient characteristics are associated with poor outcomes with removal attempts made under direct ...
Hirokazu Kawano - One of the best experts on this subject based on the ideXlab platform.
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incidence of External Auditory Canal exostoses in competitive surfers in japan
Otolaryngology-Head and Neck Surgery, 2011Co-Authors: Haruka Nakanishi, Tetsuya Tono, Hirokazu KawanoAbstract:Objective. The objective of this study was to demonstrate the prevalence and severity of External Auditory Canal exostoses in a population of competitive surfers in Japan. The authors used a “surfi...
